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, . CITY OF ORONO * 2 0 1 6 - 0 1 3 6 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/08/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4149 HIGHWOOD RD <br /> PIN : 07-117-23-44-0018 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 022 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> VALUATION : $ 8,457.00 <br /> NOTE: REPLACE(2)WINDOWS IN GARAGE <br /> (1)ENTRY DOOR <br /> SIDING <br /> APPLICANT PERMIT FEE SCHEDULE 185.83 <br /> STATE SURCHARGE(VALUATION) 4.23 <br /> THE HOME DEPOT A.H.S. MAIL-IN FEE 2.00 <br /> 2690 CUMBERLAND PKWY,STE 300 TOTAL 192.06 <br /> ATLANTA,GA 30339- <br /> (763)542-8826 Payment(s) <br /> Minnesota State License#:BUIL-CR268257 CHECK 76437 192.06 <br /> OWNER <br /> KOCH,MARK&NANCY <br /> 4149 HIGHWOOD RD <br /> MOiJND,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requ'ves separate <br /> permits. Ail provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> c <br /> � �. � �� <br /> Applicant Permitee Signature Date ssued B ignature Date <br />